[fusion_builder_container background_color=”#f1f1f1″ background_image=”/wp-content/uploads/2015/03/drops-on-leaf-wallpaper-1024×640222.jpg” background_parallax=”none” enable_mobile=”no” parallax_speed=”0.3″ background_repeat=”no-repeat” background_position=”left top” video_url=”” video_aspect_ratio=”16:9″ video_webm=”” video_mp4=”” video_ogv=”” video_preview_image=”” overlay_color=”” video_mute=”yes” video_loop=”yes” fade=”no” border_size=”0px” border_color=”” border_style=”solid” padding_top=”20px” padding_bottom=”20px” padding_left=”0px” padding_right=”0px” hundred_percent=”no” equal_height_columns=”no” hide_on_mobile=”no” menu_anchor=”” class=”” id=”op-top-banner”][fusion_builder_row][fusion_builder_column type=”1_1″ layout=”1_1″ background_position=”left top” background_color=”” border_size=”” border_color=”” border_style=”solid” spacing=”yes” background_image=”” background_repeat=”no-repeat” padding_top=”” padding_right=”” padding_bottom=”” padding_left=”” margin_top=”0px” margin_bottom=”0px” class=”” id=”” animation_type=”” animation_speed=”0.3″ animation_direction=”left” hide_on_mobile=”no” center_content=”no” min_height=”none” last=”no” hover_type=”none” link=”” border_position=”all”][fusion_text]

男性隆乳手術Male Breast Augmentation

[/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container][fusion_builder_container background_color=”” background_image=”” background_parallax=”none” enable_mobile=”no” parallax_speed=”0.3″ background_repeat=”no-repeat” background_position=”left top” video_url=”” video_aspect_ratio=”16:9″ video_webm=”” video_mp4=”” video_ogv=”” video_preview_image=”” overlay_color=”” video_mute=”yes” video_loop=”yes” fade=”no” border_size=”0px” border_color=”” border_style=”solid” padding_top=”20px” padding_bottom=”20px” padding_left=”0″ padding_right=”0″ hundred_percent=”no” equal_height_columns=”yes” hide_on_mobile=”no” menu_anchor=”” class=”” id=””][fusion_builder_row][fusion_builder_column type=”1_1″ layout=”1_1″ background_position=”left top” background_color=”” border_size=”” border_color=”” border_style=”solid” spacing=”yes” background_image=”” background_repeat=”no-repeat” padding_top=”” padding_right=”” padding_bottom=”” padding_left=”” margin_top=”0px” margin_bottom=”0px” class=”” id=”” animation_type=”” animation_speed=”0.3″ animation_direction=”left” hide_on_mobile=”no” center_content=”no” min_height=”none” last=”no” hover_type=”none” link=”” border_position=”all”][fusion_text]男性隆乳手術在本地雖不常見, 但也大約占所有隆乳族群的3~5%左右, 特別是在男變女性族群裡是最為廣泛接受的身體整形項目, 其原因主要是乳房位於衣著可以遮掩的隱私部位, 不易被外人發現明顯的變化, 且隆乳屬於可回復性的手術, 日後如不需要可以隨時取出義乳讓胸部還原, 對於患者心理層面的衝擊感受不若生殖器變性手術來得強烈, 因此常被男變女性者與其家屬當做跨越性別認同的試金石, 也是日後邁向真正性別轉換的必要門檻. 此外有變性傾向者於隆乳手術後必先經歷一段心理調適期, 諸如衣著打扮, 社交行為, 同儕與家庭相處模式等皆可能產生許多改變, 因此也有一些醫學觀點認為男性隆乳有助於鑑別或確認患者變性的決心, 如能接受此手術所帶來的身體變化與精神壓力並處之泰然的話, 日後才適合接受更近一步的生殖器變性手術.

男性隆乳手術的過程與做法跟女性幾無不同, 只是皮膚彈性與胸型骨架等結構會有較明顯的差異, 而這也左右了義乳的樣式與材料等選擇. 目前莊醫師皆採用全程內視鏡與電燒刀來施行男性隆乳手術, 手術的切口可以選擇從腋下或是乳暈來進行, 唯男性的乳暈通常較小, 較不適合從此處進行大容量(罩杯)的義乳植入, 若患者欲將胸部尺寸做明顯升級的話, 仍應從腋下手術為宜. 其它關於男性隆乳與女性較為不同且須注意之差別還有:
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義乳植入以選擇筋膜下隆乳

因男性的皮膚大多較女性來得堅韌與緊繃, 且胸肌發育也較女性厚實許多, 如果將義乳植入於胸肌下層的話並不易做好術後的乳房按摩, 且義乳較可能因胸肌頻繁施力或擠壓的關係造成移位或變形, 影響了乳房的觸感與自然度, 反而讓術後的效果與穩定度較不易預期. 因此莊醫師多建議如果患者皮膚條件足夠的話應盡可能將義乳植入於筋膜下(胸肌上層)層, 一來義乳的位置不容易受到男性厚實胸肌的牽引或拉扯而變形, 二來也較容易且無痛的做好自我乳房按摩, 對於日後乳房的形狀與柔軟度皆有不小的助益.[/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container][fusion_builder_container background_color=”” background_image=”” background_parallax=”none” enable_mobile=”no” parallax_speed=”0.3″ background_repeat=”no-repeat” background_position=”left top” video_url=”” video_aspect_ratio=”16:9″ video_webm=”” video_mp4=”” video_ogv=”” video_preview_image=”” overlay_color=”” video_mute=”yes” video_loop=”yes” fade=”no” border_size=”0px” border_color=”” border_style=”solid” padding_top=”20″ padding_bottom=”20″ padding_left=”0″ padding_right=”0″ hundred_percent=”no” equal_height_columns=”yes” hide_on_mobile=”no” menu_anchor=”” class=”” id=””][fusion_builder_row][fusion_builder_column type=”1_2″ layout=”1_2″ last=”no” spacing=”yes” center_content=”no” hide_on_mobile=”no” background_color=”” background_image=”” background_repeat=”no-repeat” background_position=”left top” hover_type=”none” link=”” border_position=”all” border_size=”0px” border_color=”” border_style=”solid” padding_top=”” padding_right=”” padding_bottom=”” padding_left=”” margin_top=”” margin_bottom=”” animation_type=”0″ animation_direction=”down” animation_speed=”0.1″ animation_offset=”” class=”” id=”” min_height=””][fusion_imageframe lightbox=”no” gallery_id=”” lightbox_image=”” style_type=”none” hover_type=”none” bordercolor=”” bordersize=”0px” borderradius=”0″ stylecolor=”” align=”center” link=”” linktarget=”_self” animation_type=”0″ animation_direction=”down” animation_speed=”0.1″ animation_offset=”” hide_on_mobile=”no” class=”” id=””] 乳房的構造 [/fusion_imageframe][/fusion_builder_column][fusion_builder_column type=”1_2″ layout=”1_2″ last=”yes” spacing=”yes” center_content=”no” hide_on_mobile=”no” background_color=”” background_image=”” background_repeat=”no-repeat” background_position=”left top” hover_type=”none” link=”” border_position=”all” border_size=”0px” border_color=”” border_style=”” padding_top=”” padding_right=”” padding_bottom=”” padding_left=”” margin_top=”” margin_bottom=”” animation_type=”” animation_direction=”” animation_speed=”0.1″ animation_offset=”” class=”” id=”” min_height=””][fusion_imageframe lightbox=”no” gallery_id=”” lightbox_image=”” style_type=”none” hover_type=”none” bordercolor=”” bordersize=”0px” borderradius=”0″ stylecolor=”” align=”center” link=”” linktarget=”_self” animation_type=”0″ animation_direction=”down” animation_speed=”0.1″ animation_offset=”” hide_on_mobile=”no” class=”” id=””] 義乳置於胸大肌筋膜下方 [/fusion_imageframe][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container][fusion_builder_container background_color=”” background_image=”” background_parallax=”none” enable_mobile=”no” parallax_speed=”0.3″ background_repeat=”no-repeat” background_position=”left top” video_url=”” video_aspect_ratio=”16:9″ video_webm=”” video_mp4=”” video_ogv=”” video_preview_image=”” overlay_color=”” video_mute=”yes” video_loop=”yes” fade=”no” border_size=”0px” border_color=”” border_style=”solid” padding_top=”20px” padding_bottom=”20px” padding_left=”0″ padding_right=”0″ hundred_percent=”no” equal_height_columns=”yes” hide_on_mobile=”no” menu_anchor=”” class=”” id=””][fusion_builder_row][fusion_builder_column type=”1_1″ layout=”1_1″ background_position=”left top” background_color=”” border_size=”” border_color=”” border_style=”solid” spacing=”yes” background_image=”” background_repeat=”no-repeat” padding_top=”” padding_right=”” padding_bottom=”” padding_left=”” margin_top=”0px” margin_bottom=”0px” class=”” id=”” animation_type=”” animation_speed=”0.3″ animation_direction=”left” hide_on_mobile=”no” center_content=”no” min_height=”none” last=”no” hover_type=”none” link=”” border_position=”all”][fusion_text]

義乳材質可考慮絨毛面果凍矽膠

男性的胸膛本即較為厚實, 雖缺乏如女性般的乳腺組織, 但皮膚與脂肪的厚度即足以覆蓋整個義乳, 甚少發生因皮膚條件過於單薄而導致隆乳術後的義乳皺褶或邊緣等問題, 因此男性在義乳材質的選擇上較具有彈性, 也可以考慮一般女性接受度較低的絨毛面(粗糙面)果凍矽膠, 一來此類義乳無須進行積極或長期的胸部按摩, 乳房可快速定型, 適合不易自我乳房照顧的男性族群; 二來此材質不常發生二度以上的莢膜孿縮, 雖然其觸感不如光滑面義乳來得自然柔軟, 但也不至於因術後按摩不當而發生乳房變硬或變形等後遺症. 此外本院也提供最新核准使用的水滴型粗糙面(絨毛面)義乳, 其較上述兩類圓形義乳更具有客製化胸型的特點, 也很適合平胸的男性族群來選擇利用。[/fusion_text][fusion_text]

乳房尺寸需以放大為宜

男性的胸廓普遍較女性來得寬闊, 且兩邊乳頭的間距較遠, 若義乳尺寸與盤徑選擇過小的話則很難讓乳房往中線集中, 即便術後按摩也可能無法有效維持手術撥離出的空間, 因此莊醫師多建議男性隆乳患者不妨接受較大尺寸的義乳植入, 一來可以搭配男性原本即厚實的肩寬與胸圍, 讓身材比例更為協調, 二來能讓兩邊義乳盡量的往中線處靠攏, 術後容易維持乳房的集中度. 此外男性因是全平胸的關係, 先天的胸部皮膚尤其是接近中央胸骨處大多非常緊繃, 因此除了挑選盤徑較寬或尺寸較大的義乳外, 也可以選擇較為高挺的義乳樣式, 如此才能有效撐起原本緊實的前胸皮膚, 增加乳房的挺度, 也可避免義乳因皮膚緊實的壓迫而無法展現胸部曲線之美, 日後反而難以擠出類似女性般的深V乳溝

至於時下流行的自體脂肪豐胸手術並不適合男性做為豐胸或隆乳的選項, 主因男性的脂肪分布多屬淺層的白脂肪, 其細胞的大小與數量皆不若女性的脂肪佳, 若再加上男性皮膚較為厚實緊繃的特性, 並不容易運用軟性的脂肪球注射來撐起乳房的形狀與大小, 而且日後的自體吸收成度恐怕更多, 因此並無法穩定且有效的增加男性的乳房尺寸。[/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container][fusion_builder_container hundred_percent=”yes” overflow=”visible” margin_top=”20px” margin_bottom=”20px” background_color=”rgba(255,255,255,0)”][fusion_builder_row][fusion_builder_column type=”1_1″ layout=”1_1″ background_position=”left top” background_color=”” border_size=”” border_color=”” border_style=”solid” spacing=”yes” background_image=”” background_repeat=”no-repeat” padding_top=”” padding_right=”” padding_bottom=”” padding_left=”” margin_top=”0px” margin_bottom=”0px” class=”” id=”” animation_type=”” animation_speed=”0.3″ animation_direction=”left” hide_on_mobile=”no” center_content=”no” min_height=”none” last=”no” hover_type=”none” link=”” border_position=”all”][fusion_separator style_type=”none” sep_color=”” border_size=”” icon=”” icon_circle=”” icon_circle_color=”” width=”” alignment=”center” class=”” id=”” /][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container][fusion_builder_container background_color=”” background_image=”” background_parallax=”none” enable_mobile=”no” parallax_speed=”0.3″ background_repeat=”no-repeat” background_position=”left top” video_url=”” video_aspect_ratio=”16:9″ video_webm=”” video_mp4=”” video_ogv=”” video_preview_image=”” overlay_color=”” video_mute=”yes” video_loop=”yes” fade=”no” border_size=”0px” border_color=”” border_style=”solid” padding_top=”0″ padding_bottom=”0″ padding_left=”0″ padding_right=”0″ hundred_percent=”yes” equal_height_columns=”yes” hide_on_mobile=”no” menu_anchor=”” class=”” id=”op-content”][fusion_builder_row][fusion_builder_column type=”1_2″ layout=”1_2″ last=”no” spacing=”no” center_content=”no” hide_on_mobile=”no” background_color=”” background_image=”” background_repeat=”no-repeat” background_position=”left top” hover_type=”none” link=”” border_position=”all” border_size=”0px” border_color=”” border_style=”solid” padding_top=”0″ padding_right=”0″ padding_bottom=”0″ padding_left=”0″ margin_top=”” margin_bottom=”” animation_type=”0″ animation_direction=”down” animation_speed=”0.1″ animation_offset=”” class=”” id=”bd-right” min_height=””][fusion_text]

手術內容

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手術時間

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麻醉方式: 全身麻醉
手術切口: 腋下約3.5cm切口或乳暈週邊2.5cm切口
恢復期: 2~3天
拆線: 7~10天

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注意須知

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手術前需禁食與水

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術後一個月內近須勤做拉筋運動以避免腋下疤痕沾黏
術後三個月內需禁菸以避免刺激莢膜增生
術後三個月內須避免手臂過度施力的工作或運動, 並禁止穿戴硬鋼絲或是集中型胸罩以避免壓迫義乳而變形
術後半年內須持續每日做胸部按摩以維持乳型與柔軟度

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適應對象

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男變女體需求者
有變裝或女裝癖的興趣與需求者
日後進行生殖器變性的前置手術

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可能併發症

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疤痕
莢膜孿縮
乳房變硬或變形
乳頭敏感度降低

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手術優點

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滿足男變女性者對於乳房外觀的改變需求
以義乳植入較能塑造挺起且集中的雙峰效果
對於乳房的大小需求可一次到位
手術效果可穩定持久
日後如不再需要可完全取出還原

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手術缺點

手術切口可能留疤
皮膚緊繃者較容易出現球感等不自然外觀或觸感
男性皮膚與肌肉較為厚實, 可能影響術後按摩的效率
若術後照顧不當較容易產生莢膜孿縮或變形

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可合併手術

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乳頭增大手術

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男性與女性隆乳手術之比較

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	男性隆乳	女性隆乳
適應對象	男變女性需求者, 變裝癖者	先天乳房發育不良, 大小乳,產後或老化性乳房下垂…等
手術方式	內視鏡隆乳法	內視鏡隆乳法
手術切口	腋下為主	腋下, 乳暈或胸下緣皆可
義乳材質	絨毛面義乳為佳(占約60%)	光滑面義乳為主(80%以上)
義乳樣式	盤徑寬或高挺者	盤徑與高度中等即可
植入位置	筋膜下為宜	胸肌下或筋膜下皆可
皮膚緊實度	緊繃	較鬆
皮膚/肌肉厚度	厚實	單薄
義乳皺褶	少有	可能
按摩難度	較高	較低
術後照護期	可能延長	平均半年
自體脂肪注射	不適用	視條件而定

手術成果

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